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I can't tell you much about feeding tubes other than they are not fun. I think someone else had written about the problems with these tubes. I am concerned with your mother's rapid deteriation. In just three years she has really gone down hill quickly, yet she is young at the age of 54. This rapid a deteriation makes me suspect as to if she really has PD. There are a number of diseases that look like PD but are not, they are usually called PD Plus. These include PSP, SDS, SND, etc. They are usually distingished by rapid deteriation in health and a little or no response to anti-Parkinson's medication. Consult with your physician on these. Another posibility is if the deteriation is very rapid, say over a few weeks, and almost all symptoms have deteriated. This could be depression. When depression hits, the anti-pd drugs do not seem to help. Many of the symptoms of depression are similar to PD. If there is a family history or your mother has a history of depression, this could be the cause. Again talk to your physician. Regards, Alan Bonander Age 55, diagn 11 yrs, liquid sinemet, permax, eldepryl, paxil [log in to unmask]